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Dose-response relationship between colorectal cancer awareness and presentation delay in patients with colorectal cancer
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Jia CHEN1, Xinyu GAO2, Qiulong CHEN1, Qing YANG1, 3
Chinese Nursing Research | 2026, 40(16) : 2774 - 2780
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Chinese Nursing Research | 2026, 40(16): 2774-2780
• Original Articles •
Dose-response relationship between colorectal cancer awareness and presentation delay in patients with colorectal cancer
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Jia CHEN1, Xinyu GAO2, Qiulong CHEN1, Qing YANG1, 3
Affiliations
  • 1School of Nursing, Chengdu Medical College, Sichuan 610500 China
  • 2School of Nursing, Chengdu University of Traditional Chinese Medicine
  • 3Department of Nursing, Sichuan Cancer Hospital & Institute, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Prevention and Treatment Center, Cancer Hospital Affiliated to University of Electronic Science and Technology of China
Published: 2026-08-25 doi: 10.12102/j.issn.1009-6493.2026.16.002
Outline
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Objective

To identify the influencing factors of presentation delay among patients with colorectal cancer,and to quantify the dose-response relationship and stratified differences between colorectal cancer awareness and presentation delay,in order to provide a basis for precise intervention.

Methods

A cross-sectional study was performed involving 910 patients diagnosed with colorectal cancer from January 2024 to August 2025 at a tertiary grade A hospital in Sichuan province.Demographic characteristics,health treatment behaviors and colorectal cancer awareness level were collected via questionnaires and electronic medical records.Linear regression,restricted cubic spline(RCS) model and stratified analysis were used for statistical analysis.

Results

The median presentation delay of colorectal cancer patients was 84 days,and 48.79% of patients suffered presentation delay exceeding 90 days.Linear regression analysis indicated that educational level,per capita monthly household income,type of medical insurance and having medical workers in the family were influencing factors for presentation delay(all P<0.05).After adjusting for confounders such as educational level,per capita household income,medical insurance type and family medical background,the restricted cubic spline model revealed a non-linear dose-response relationship between colorectal cancer awareness and presentation delay.

Conclusions

Presentation delay in colorectal patients is affected by multiple factors,and a dose-response relationship exists between colorectal cancer awareness and presentation delay.Targeted health education for high-risk groups,optimized medical security and improved accessibility of medical resources are suggested to shorten presentation delay.

colorectal cancer  /  presentation delay  /  influencing factors  /  dose-response relationship
陈佳, 高欣雨, 陈秋龙, 杨青. 结直肠癌病人肠癌意识与就医延迟时间的剂量-反应关系. 护理研究, 2026 , 40 (16) : 2774 -2780 . DOI: 10.12102/j.issn.1009-6493.2026.16.002
Jia CHEN, Xinyu GAO, Qiulong CHEN, Qing YANG. Dose-response relationship between colorectal cancer awareness and presentation delay in patients with colorectal cancer[J]. Chinese Nursing Research, 2026 , 40 (16) : 2774 -2780 . DOI: 10.12102/j.issn.1009-6493.2026.16.002
Year 2026 volume 40 Issue 16
26
8
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.16.002
  • Receive Date:2025-12-18
  • Online Date:2026-10-30
  • Published:2026-08-25
Article Data
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History
  • Received:2025-12-18
  • Revised:2026-08-02
Affiliations
    1School of Nursing, Chengdu Medical College, Sichuan 610500 China
    2School of Nursing, Chengdu University of Traditional Chinese Medicine
    3Department of Nursing, Sichuan Cancer Hospital & Institute, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Prevention and Treatment Center, Cancer Hospital Affiliated to University of Electronic Science and Technology of China
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表12种不同金属材料的力学参数
科
Family
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Number of
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Number of
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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